Individual
DR. JULIE ELLEN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5818
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A116978
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
01074240A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A116978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000881277
BCBS
IN
01
—
000000925191
BCBS MFM
IN
05
—
201234700
—
IN
Enumeration date
07/18/2008
Last updated
08/24/2022
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